Individual
ADELA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13685 DOCTORS WAY STE 100, FORT MYERS, FL 33912-4337
(239) 343-1403
(239) 343-4229
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1612
(239) 343-4229
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9119965
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129610200
—
FL
Enumeration date
11/05/2025
Last updated
05/06/2026
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